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HomeMy WebLinkAboutProcession - Living Stones Church1316 COUNTY -CITY BuiLDING 227 W. JLFFE,,WS0N BOULEVARD Sou'ri I BEND. INDIANA 46601-1830 CITY OF SOUTu-j BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC-WM-TC-S May 8, 2018 Angie Medors Living Stones Church 718 Donmoyer Avenue South Bend, IN 46614 RE: Parade: Ready. Set. School! Parade Dear Ms. Medors: PRONF, 574/235-9251 FAX 574/ 235-9171 The Board of Public Works, at its meeting held on May 8, 2018, approved your request to conduct your parade on July 28, 2018, from 9:00 a.m. to 10:00 a.m., on the designated route as submitted. Enclosed please find a copy of your approved permit. The South Bend Police and Traffic and Lighting Departments will supply traffic control. Participants are to follow all traffic regulations. In addition, throwing candy is prohibited. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, Linda M. Martin, Clerk, Enclosure c: Gene Eyster, Police Department Federico Rodriguez, Fire Department Ed Gleckler, Traffic & Lighting GMRy A. Git.m, SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMEs A. Mui.,t.u.Iz TiIERESE J. DORAIJ INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT; 4110/2018 TO; �Ed Gleckler, Traffic &Lighting Y-Federico Rodriguez, Fire Department 'Matt Longfellow, Engineering Kara Wood, Park Department Lt. Gene Eyster, Police Department Jill Sciccitano, Downtown South Bend Marcia Qualls, Streets Legal Department FROM; Linda M. Martin, Clerk SUBJECT; PROCESSION RECOMMENDATION -Ready Set School! Parade SPONSOR: Living Stones Church DATE OF EVENT: July 28, 2018 DATE DUE: Aril 17 2018 FAX OR E-MAIL TO: 236-9171 1 Imartin southbendin.gov RECOMMENDATIONS AND COMMENTS: By Date APPLICATION FOR USE OF PUBLIC RIGHT-OF-WAY FOR PROCESSIONS The Board of Public Works must have FOUR (d) weeks prior notice of the Sponsor: �1VC1([r. ���aU C6k Submitted.By: Ayilk Ael g S Address: �,1'li�t0 �' C _ City: Se)tA44) V'�rl State: dip f Phone:' crr�¢ od Email: !' Cc - Sponsor may use the pudic right -of way 'described as (describe route and attach map) PLEASE NOTE: THE SOUTH BE, POLICE DEPARTMENT RE' SERVE THE RIGHT TO RleaL. CHANGEYOURROUT OR SAFETV PURPOSES Event name: The Board of Pu is Worl<s must have FOUR (4) weeks prior notice before event occurs All certificates of insurance, pre paid costs, maps, and any other applicable information requested or required by the Board of Public Works have been provided with this application The event shall be hold on 20 _ and no other date Registration time for the event starts at /p.m. Starting time ofthe procession is�' � ,tn (P.M.— []� Estimated completion time is 101,06 This event involves the use of the following; roadways [[ This event involves closure of City residential streets ❑ This event involves County roads ❑ This event involves State highways ❑ This event involves use of a park (Must obtain permission from Park Board) I understand that I must arrange a meeting with all affected governmental agencies to organize the above event (Call Marcia Qualls, -Customer Service Manager, 235-.5939 to organize meeting)) ❑ This event involves the use of the sidewalk ❑ Participants must stay on the sidewalk and obey all traffic laws, [f This event is looall egional/natlonal ovent (Please elrcle tlfe appropriate eventtype) [✓ This event c ll be o rdinated with the property owner/business where staging will take place ;i �l W' ks 6ol ~ pa►�I"0160- L* � Updated 08/2017 2 PERMITlAGREEM-U, lT FORA PROCESSION I. Sponsor shall reimburse the Board for the actual cost to the City for the event, if deemed necessary, 2. Sponsor shall provide to the Board a Ceifificate of Insurance showing a liability policy in full force and effect with limits of $300,000.00 per occurrence and $5,000,000.06 aggregate and the City of South Bend listed as an additional named insured for this event. 3. Sponsor shall provido to the Board all additional licenses, permits and documentation required for the event, 4. If this event results in closure of a residential street, all residents within, the affected area must be notified of this event. The APPLICANT must make a reasonable attempt to notify all residents that reside on the block. A. copy of a brochure or letter describing the event purpose, ddte, and time must be distributed to all affected neighbors and included with the application, S. If this event results in closure of'a residential street, the applicant is responsible, prior to the event, fok determining if there are any residents affected that could potentially need assistance in accessing their residence. The applicant is responsible for providing said resident access or transportation to their property. 6. Sponsor agrees to abide by all terms and conditions of the Board's policy governing walks, runs, parades or other similar event adopted by the Board on March 3, 1985. 7. In order to ensure public safety during the event, the Board agrecs to furnish traffic planning, materials, equipment and personnel as deemed necessary by the Police Department Traffic Bureau, the Bureau of Traffic and Lighting, and, where applicable, the: Board ofPark Commissioners. .--- -- ---.-.----.--.-.-- _ __._-._.. .: . .. . . S, Sponsor arknowledges that the Police Department reserves the right to change this route for safety purposes. 9. In consideration for approval by the Board and the use of the sidewalks for the purposes set out above, the undersigned agrees and undertakes to hold the Civil City of South Bend, Indiana, free and barmless from any liability loss, costs, costs, damages or expenses, including attorney fees, which the Civil City of South Bend may suffer or incur, as a result of any claims or actions which may be made by any person, including a participant in said activity, arising out of the approval of the request to use the sidewalks indicated in the City of South Bend. The undersigned certifies that helshe is authorized to bind the above mentioned sponsor to the terms hereof. 10. Notification of ap-provalldonial of this request will be issued by Return of this form, upon, signed authorization by the Board of Public Works I understand the above rules and regulations and that this application may be denied based on any false or incomplete information. Sponsor Signature Lk�g RETURN roRAI TO: Board ofP ablic Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, M 46G0I Phone: (574) 235-9251 a Fax; (574) 235-9171 Printed Name Title' President — Member _c c be UN,k"�-, OF P UBUC WORDS APPROVAL M ber -- Member T Member pate =V URN.VOI M. TO: 4 Board of Public Works 13I6 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Thom; (574) 235-925I • Tax: (574) 235-9171 Google Maps 41.6434605,-86,2410076 to 2211 Fellows St, South bend, IN 46613 Walk 0.8 mile,16 min Proposed Parade Route -July 28,201 B Living stones Church Event rn>,p n.�,,..H •••,•- 'i YahEA ` Y`t P JnVielevlsira� F'mw.,o 1tt4S (4 n g56 Ge t u :� ,p , i [_—, tnlorY s 7 l.lca"mklt it ltaT+171 �&110 1.' 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'�: mrxsruFa s, i! Gknrerh'Sna'ycmlcr hlcUwdgl Gf.Wch't' A �!�y.ry F � srnnlrxchukSckaaSp d- 5 Y : i rr n..F 1✓Mf� le srax.,,,,u �+ EI � �tluwx.< t[eLruly aNludo� a �y �$ ,�i%�'< 1nweE,?ii'rsYr. C4aNe9�l�aili psS Map data 02010 eoogla srid ft: _ ! 41,6434605,-86.2410076 A U,* caution --walking directions niay not always reflect real -world conditions t 1, Head west on bonmoyer Ave #oward Erskine Blvd 197 ft 2. Turn right onto Erskine Blvd -st - 3,' ' Turn left -onto E Ewing Ave _ ! 0.1 ml t.s 4. Turn right onto Fellows St apt ft 41 5, Turn left 181 ft r► 6. Turn right 89 it 2211 Follows St South Bend, IN 46613 These direclions are for piarinlrlg purposes only. You may find Ihal conatmolion projects, trafflo, weather, or other events may cause condilions to differfrom the map results, and you should plan your route accordingly, You must obey all signs or notices regarding your mule, � �CalqI�-•�1� i 1 /may' j) e��� �/y t,� R 1 / �. . t �.. -S - 1 !mil/! 'S 1<l rh ! ! 17"v-, M /•S �.f 1L! Y UUMIVIL!"VIAL UIVWHI--L.� ULULAHAIIW4 BUREAU INSCIRANCEXty!!i'iia; '{i Cf± '' ti i> k ' r .... .................... ........... ..:::::'•::::':::...._ ..._ ..,._....,_.................,.......:t 226 Soutb East Streit • P.A. Rom 12v6r0 • Indianapolis, IN 46206-1260 UMB 8602678 06 12/05/2017 12/05/2018 12.01 AA SiarsdEird Tir04 al the mailing address shown RENEWAL BUSINESS BACKSTROM, JON E 7601404 LIVING STONES CHURCH 718 E DONNt-!YER AVE 5032 MIAMI ST 760 SOUTH BEND IN 46614 SOUTH BEND IN 46614-3232 Telephone: 57 4- 2 91-3 8 4 0 Business Description Type of Business CHURCH CORPORATION LIMIT OF INSURANCE Policy Aggregate Lirnil $1, 000, non Self -Insured retention $10, 000 SOHEDULE OF UNDERLYING INSURANCE REQUIREMENTS If policies providing the required "underlying insurance" indicated by W in Column A are either reduced, cancelled, discontinued or non-exlstant, the named insured's minimum "retained limit" is equal to the following: X .x General Liability General Aggregate $3, 000, 000 Products - Completed Operations Aggregate $3,000,000 Personal and Advertining Injury S1, 000, gop Each Occurrence 5I , 000, 000 Auto Liability Each Accident or Bodily Injury Each Parson 'Bodily Injury Each Accident Property Damage Each Accident or Combined Single Limit BI Liability/PD Liability Uninsured! I Bodily Injury ,Each Person: Underinsured Bodily Injury Each Accident: Motorist Liability $1,000,000 $1,000,000 x Employer's Liability Bodily Injury Each Accident _ Sio0, Bodily Injury By Disease Policy Limit 500 00 Bodily Injury By Disease Each Employee 8100, 000 Forms and Endorsements Applicable to this policy. See Attached Schedule TOTAL PREMIUM: $600.00 Issued Date: 11/07/2017 7 /9444. Authorized Representative 22.272I293 INSURED 00093-00009 Page 1 of 1 F A INDIANA FARM POLICY INTEREST SCHEDULE BUREAU INSURANCE'® Policy Number: CHU 8701592 00 226 South East Street * P.O. Box 1260 * Indianapolis, IN 46206-4250 Named Insured; LIVING STONES CHURCH Interest AI -STATE OF POLITCL SUED PERMT CITY OF SOUTH BEND 1316 COUNTY -CITY BLDG 227 W JEFFERSON BLVD SOUTH BI Nb IN 46601 CG2012 LOSS PAYEE (EXCEPT WC) TOSHIBA FINANCIAL SERVICES 2 MuSICK 1RVINE CA 92618-1631 FIRST MORTGAGEE LAKE CITY BANK 46211639 PO BOX 1387 WARSAW IN 465B1 718 DONMOYER AVE AFLESSOR OF LEASED EQUIPMENT, TOSH113A FINANCIAL SERVICES 2 MUSICK IRVINE CA 92618-1B31 Agent: BACKSTROM, JON E 7601404 POLICY INTEREST SCHEDULE Item Unit 1 718 DONMOYER AVE SOUTH BEND IN 46614 Location 1 718 DONMOYER AVE SOUTH BEND IN 46614- 718 DONMOYER AVE SOUTH BEND IN 46614 Issued Data: so/17/2017 NASGHED 0606 INSURED 00036-00ao4 page I of 1 BAW INDIANA FARM CHURCH POLICY DECLARATIONS R BUREAU INSURANCE" UNITED FARM FAMILY MUTUAL INSURANCE COMPANY This deolsration form together with any forms end endot,ementr Wkaled under Kern 9 conBOW[ s the entire aontraot botwoen the parties, Thfs decictatlon replaces end soporsedos any prooeding numbarod didaratlans bearing the Tame policy number. Poficy No. Tranaaction CHU 8701592 06 RENEWAL BUSINESS 1. Named Insured and Mailing Address LIVING STONES CHURCH 718 VOLNNOYER AVE SOUTH BEND IN 46614 Agent County 7601404 760 First Mortgagee (Name and Address) LAKE CITY BANK #621163 9 PO BOX 1387 WARSAW IN 46581 2, Polley Term: From: 12/05/2017 To: 12/05/2018 at 12:01 a.m. Standard Time at location of described premises 3. Location of Premises 01 718 DONMOYER AVV SOUTH RENR IN 4663.4 02 638 DONMOY£R AVE SOUTH 13M IN 4663.4 a. The Named Insured is: CORPORATION ( Church ) 5. SCHEDULE OF PROPERTY INSURANCE APPLIES ONLY WITH RESPECT TO THOSE COVERAGES ANP PROPERTY FOR WHICH A LIMIT OF INSURANCE IS SHOWN Prem. Bldg. Limits of Valuation Coverage Earthquake coverage applies No. No. Insurance if % deductible is shown 0001 0001. $2, 225, 841 RC JOISTBD MASONRY BLDG OCCUP AS A CHURCH AND ITS WNTENTS 0001. 0002 $315,4.27 RC BUS GARAGnIYOUTH.BUILDINO Dedueilblo 0260 unless otherwise stated $11)00 Automatic Increase Real Property 3t ❑ Mine Subsidence - See form Church 15 Unless otherwise stated in the Schedule of Property, the following Additlonal Coverages and Coverage Extensiorts apply for the limit shown below. inside outside Money and Securities $5,000 45,000 Employee D,Ishonesty $15,000 Valuable Papers and Records 410,000 Backup of Sowers and Drains $10r000- Maintenanve and Service Buildings 015,(l00 Fire, Department Service Charge Actual Cost Debrls Removal 450,000 Church Income Inol. Extra Exp. & Civil Authority $25,000 Money Order & Counterfeit Paper Currency $61000 6. Liability Insurance Limits Forgery & Alteration 55,000 Ordinance or Law Coverages 2 & 3 450,000 Newly Acquired Buildings and Personal Property 1500,000 Paraonal.Propar{y Off premisss $15,000 Outdoor Trees, Shrubs & Plant (up to $1,000 ea.)max$10,000 Spoilage Actual Coat Fine Arts 05,000 Personal Effoots of Clergy $16,000 Personal Effects of Others 42,500 General Aggregate Limit (other than Products -Completed Operations) 0 3,000,000 Products -Completed Operations Aggregate Limit S 3,000,00() Personal and Advertising Injury Limit S 1,000,000 Bach Occurrence Limit $ 1,000,000 Fire Legal Liability Limit $ 100,000 Medical Expenses Limit t 5,000 Sexual Misconduct Limit $ 500,000 $ 500,000 7. The following options apply If checked: ® Hired/Nonowned Auto A Excess Medical . Day Care © Excess (Medical - Students W Clergy Professional Q Excess Medical - Organized Sports ICI Directors & Officers Liability 0, Cllf this box is checked, Church Bus Coverage applies. See attached Church Bus Declarations Page 9 Farms and Endorsements Applicable In addition to Forms Soo Forms inventory any one fire any one person any one person aggregate © Cemetery Professional 10. Premfuln Annual Premium $ 4,732,00 Issued Date_ 10/17/201.7 25-077 6-05 INSURED 00OSG-00003 page, 1 of 1